Full Name | |
---|---|
Speciality | Dentist - General Practice |
Location | 415 1st Ave W, Clark, South Dakota |
Authorized Official Name and Position | Harvey Dean Spieker (PRESIDENT, SPIEKER DENTAL, INC) |
Authorized Official Contact | 6055323636 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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415 1st Ave W Clark SD 57225-1320 Ph: (605) 532-3636 | 415 1st Ave W Clark SD 57225-1320 Ph: (605) 532-3636 |
NPI Number | 1821018243 |
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Provider Enumeration Date | 07/20/2006 |
Last Update Date | 06/24/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821018243 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | M435 (South Dakota) | Primary |
1223G0001X | Dentist - General Practice | D0403 (South Dakota) | Secondary |